This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form F-02462 Tuberculosis (Tb) Treatment Assistance Enrollment and Agreement?
A: Form F-02462 is a document used in Wisconsin to enroll in tuberculosis (TB) treatment assistance program.
Q: What is the purpose of this form?
A: The purpose of this form is to apply for enrollment in the tuberculosis treatment assistance program in Wisconsin.
Q: Who is eligible for the tuberculosis treatment assistance program?
A: Eligibility for the program is based on income and residency criteria.
Q: How can I obtain a copy of this form?
A: You can obtain a copy of this form from the Wisconsin Department of Health Services.
Q: Is there a fee to enroll in the tuberculosis treatment assistance program?
A: No, there is no fee to enroll in the program.
Form Details:
Download a fillable version of Form F-02462 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.